| 罗显克1 谭建荣1 王大东1 吴志芳1 赵晖1 齐书翔2.内镜下3 种方法治疗食管静脉曲张破裂出血临床效果比较*[J].,2014,14(10):1919-1922 |
| 内镜下3 种方法治疗食管静脉曲张破裂出血临床效果比较* |
| Comparison of Clinical Effects of Three Endoscopic methodsfor Esophageal Varices Bleeding* |
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| DOI： |
| 中文关键词: 食管静脉曲张破裂出血 套扎治疗 硬化治疗 序贯治疗 |
| 英文关键词: Esophageal varices bleeding Ligation Sclerotherapy Sequential therapy |
| 基金项目:崇左市自筹计划科研课题（200912005）；国家自然科学基金项目 |
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| 中文摘要: |
| 摘要目的：探讨治疗肝硬化导致的食管静脉曲张破裂出血的有效方法。方法：回顾性分析40 例因肝硬化致食管静脉曲张破裂出
血患者的临床资料，比较采用内镜下套扎、硬化及套扎序贯硬化3 种治疗方法的止血率、静脉曲张消失率和再出血率。结果：EVL
组、EVS 组和EVL+EVS 组治疗1 个周期后止血率分别为86.67%、92.31%和91.67%，差异无统计学意义（X2=0.299，P=0.861）；治
疗3 周期后静脉曲张消失率分别为80.00%、84.61%和91.67%，差异无统计学意义（X2=0.714，P=0.700）。治疗后3 个月、6 个月、12
个月、24 个月再出血率EVL+EVS 组 |
| 英文摘要: |
| ABSTRACT Objective：To implore an effectivemethod for the treatment of esophageal variceal bleeding caused by cirrhosis.
Methods：A retrospective analysis of clinical data of 40 patientswith esophageal variceal bleeding caused by cirrhosis was made. the hemostasis,
varicose veins disappearance rate and re-bleeding rate of ligation, sclerotherapy and sequential therapy was compared.Results： The
hemostasis rates of EVL group, EVS group and EVL + EVS group were 86.67%, 92.31%and 91.67%after a therapy cycle, of which the
difference was not statistically significant (X2=0.299, P=0.861). The intravenous varicose disappearance rates were 80.00%, 84.61%and
91.67%after 3-cycle treatment,and the difference was not statistically significant (X2=0.714，P=0.700). The order of re-bleeding rates of
3 groups after treatment 3 months, 6 months, 12 months, 24 months was EVL + EVS group |
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